Individual
MALORIE KATHRYN VANWINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9974 214TH ST W, LAKEVILLE, MN 55044-1913
(952) 469-0500
Mailing address
9974 214TH ST W, LAKEVILLE, MN 55044-1913
(952) 469-0500
(952) 469-0505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14373
MN
Other
Enumeration date
06/08/2022
Last updated
04/29/2025
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